Organization · Type 2 NPI

Bon Secours ST Mary's Hospital of Richmond LLC

Pediatric Dentistry · Richmond, VA

NPI number 1265706188 Active

Practice location

6900 Forest Ave, Suite 110
Richmond, VA 23230-1701

Call (804) 893-8715 Map

Fax (804) 285-1292

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

28 other providers at this address

Other pediatric dentistry providers in Richmond

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NPI record

NPI: 1265706188
Entity type: Organization (Type 2)
Issued: Feb 24, 2012
Last updated: Oct 5, 2021
Status: Active

Other names

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Bon Secours Pediatric Dental Associates · doing business as
Bon Secours Pediatric Dental Associates · doing business as

Authorized official

Joseph Hardy
CFO
(937) 478-2932

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265706188

Bon Secours ST Mary's Hospital of Richmond LLC's National Provider Identifier is 1265706188, issued on Feb 24, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Richmond, VA. The record was last updated on Oct 5, 2021.